Individual
DR. RANDY EUGENE HIATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
2145B HOFFMEYER RD, FLORENCE, SC 29501-4015
(843) 669-3323
Mailing address
2933 BOXWOOD AVE, FLORENCE, SC 29501-5907
(843) 206-2921
(843) 661-6705
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1033
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033
STATE LICENSE
SC
Enumeration date
08/12/2020
Last updated
08/12/2020
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